2007 auction donation form

Donation Form

17th Annual Shad Bake and Auction

A benefit for rural land protection and conservation in Columbia County

Thank you for your interest in contributing to our 17^th Annual Shad Bake and Auction on Sunday, May 27^th, 2007. Please complete and return this form to CLC no later than April 23, 2007 (to ensure inclusion in our auction catalogue). All sections of this form must be completed, even if you have donated to past events.

Auction item(s): Please provide a complete description of the item for use in the auction catalogue. Please include valid dates, expiration dates, and any other stipulations that apply.

Retail Value?

Donated by (name to be listed in the auction catalog):

Business name:

Contact name (if different than above):

Please provide the following contact information:

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

FAX

E-mail

URL

I will provide promotional materials to be displayed with the donated goods/services.

yes no

Gift Certificate...

is enclosed (please include expiration date)
will be mailed by April 12th, 2007

Item...

will be shipped to arrive at CLC prior to April 15th, 2007
will be dropped off at CLC prior to April 15th, 2007
please contact me to arrange pick-up

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Columbia Land Conservancy, Inc.Copyright © 2007 All rights reserved. Revised: April 09, 2007

Columbia Land Conservancy, Inc.
Copyright © 2007 All rights reserved.
Revised: April 09, 2007